Southern Oregon Oral and Maxillofacial Surgeons

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

D7720 Issued in OR

Legal business name

SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS

Practice address

3162 State St
Medford, OR 97504-8450

Phone

(541) 779-1184

Fax

(541) 773-9885

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Ripplinger

Title

Office Manager

Phone

(541) 779-1184

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald D. Horner, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
  • NPI 1871526764

  Oral and Maxillofacial Pathology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093746174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048450",
            "telephone_number": "541-779-1184",
            "fax_number": "541-773-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048450",
            "telephone_number": "541-779-1184",
            "fax_number": "541-773-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIPPLINGER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-779-1184"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OR",
            "license": "D7720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Mental Health Services, LLC
• Southern Oregon Neurology PC
• Southern Oregon Neuropsychological Clinic LLC
• Southern Oregon Neurosurgical & Spine Associates, PC
• Southern Oregon Nutrition & Diabetes Training Center
• Southern Oregon Orthopedics Inc
• Southern Oregon Pediatrics, LLP
• Southern Oregon Periodontics, PC
• Southern Oregon Physical Therapy Associates Inc.
• Southern Oregon Professional Care Services, Inc. (Visiting Angels)

• Oral and Maxillofacial Pathology Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• Oral and Maxillofacial Pathology Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.